Automatic boost articulation therapy in adults with dysarthria: Acceptability, usability and user interaction.

Background: Imprecise articulation has a negative impact on speech intelligibility. Therefore, treatment of articulation is clinically relevant in patients with dysarthria. In order to be effective and according to the principles of motor learning, articulation therapy needs to be intensive, well or...

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Publicado en:International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.) Vol. 56; no. 5; pp. 892 - 907
Autores principales: Ramos, Viviana Mendoza, Vasquez-Correa, Juan C., Cremers, Rani, Van Den Steen, Leen, Nöth, Elmar, De Bodt, Marc, Van Nuffelen, Gwen
Formato: pictorial questionnaire/scale research tables/charts Journal Article
Publicado: John Wiley & Sons, Inc. Sep/Oct2021
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.)
      issn: 14606984
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      dt: Sep/Oct2021
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      pub: John Wiley & Sons, Inc.
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        10.1111/1460-6984.12647
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        atl: Automatic boost articulation therapy in adults with dysarthria: Acceptability, usability and user interaction.
      aug:
        au:
          Ramos, Viviana Mendoza
          Vasquez-Correa, Juan C.
          Cremers, Rani
          Van Den Steen, Leen
          Nöth, Elmar
          De Bodt, Marc
          Van Nuffelen, Gwen
        affil: Department of Otorhinolaryngology, Head and Neck Surgery and Communication Disorders, University Hospital of Antwerp, Edegem, Belgium
      sug:
        subj:
          Dysarthria Therapy
          Speech Intelligibility
          Speech Therapy Methods
          Speech Articulation Tests
          Articulation Disorders Therapy
          Human
          Pilot Studies
          Questionnaires
          Feedback
          Program Development
          Funding Source
          Algorithms
          Speech Acoustics
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Scales
          Consonants
          Descriptive Statistics
          Data Analysis Software
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Imprecise articulation has a negative impact on speech intelligibility. Therefore, treatment of articulation is clinically relevant in patients with dysarthria. In order to be effective and according to the principles of motor learning, articulation therapy needs to be intensive, well organized, with adequate feedback and requires frequent practice. Aims: The aims of this pilot study are (1) to evaluate the feasibility of a virtual articulation therapy (VAT) to guide patients with dysarthria through a boost articulation therapy (BArT) program; (2) to evaluate the acousticmodels' performance used for automatic phonological error detection; and (3) to validate the system by end-users from their perspective. Methods & Procedures: The VAT provides an extensive and well-structured package of exercises with visual and auditory modelling and adequate feedback on the utterances. The tool incorporates automatedmethods to detect phonological errors, which are specifically designed to analyse Dutch speech production. A total of 14 subjects with dysarthria evaluated the acceptability, usability and user interaction with the VAT based on two completed therapy sessions using a self-designed questionnaire. Outcomes & Results: In general, participants were positive about the new computer-based therapy approach. The algorithm performance for phonological error detection shows it to be accurate, which contributes to adequate feedback of utterance production. The results of the study indicate that the VAT has a userfriendly interface that can be used independently by patientswith dysarthriawho have sufficient cognitive, linguistic, motoric and sensory skills to benefit from speech therapy. Recommendations were given by the end-users to further optimize the program and to ensure user engagement. Conclusions&Implications: The initial implementation of an automatic BArT shows it to be feasible and well accepted by end-users. The tool is an appropriate solution to increase the frequency and intensity of articulation training that supports traditional methods.
      pubtype: Academic Journal
      doctype:
        pictorial
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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